| NPI | 1518224997 |
|---|---|
| Former Legal Business Name | DR. STEPHANIE TUCKER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TUCKER Owner/President 770-509-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-12-10 |